Florida, State Board of Health, Bureau of Vital Statistics. Maternal Mortality State Board of Health BUREAU OF VITAL STATISTICS J ack sony I Me, Florida MATERNAL MORTALITY IN FLORIDA August 1, 19 49 The tables and graphs of this report on maternal mortality arc designed to acquaint all Interested persons with Florida's standing In regard to maternal deaths. Maternal deaths Include all deaths as a result of conditions arising from pregnancy, childbirth, and the puerperlum. In 19 48, there were 115 resident maternal deaths In Florida and the death rate was 1.9 per thousand live births* This Is the lowest maternal death rate on record In this state and It represents a decrease of 70 i since 19 40 * The colored maternal death rate of 4.2 was almost 4 times as high as the white rate of LI per thousand live births* Florida's maternal death rate is still higher than the National average* Data Issued by the National Office of Vital Statistics for the year 1947 (the latest year for which final data for all states has been released! showed Florida as being In 44th place when compared with other states* Only four states (Georgia, Alabama, Mississippi, and South Carolina) had a higher maternal mortality rate, and all of the above are neigh- boring states. Table A gives a comparison of maternal mortality rates (per 1,000 live births), by color, for Florida and the United States from 1933 to 1948. The rate for the United States In 1940 Is a provisional figure, since final data has not yet been made a.V.aJ I ibl • by the National Office of Vital Statistics. Graph 1 shows the trend In maternal mortality rates In Florida and the United States from 1933 to 1948, while Graph 2 shows the trend In maternal mortality rates In Florida, by color, for the same period. These graphs are based upon the data con- tained In Table A, Table B gives the live births distributed according to the age of the mother, maternal deaths according to age of death, and maternal mortality rates by age groups. The largest number of births for both white and colored was In the 20-24 age group which also had the lowest maternal mortality rate. The highest maternal mortality rate for both white and colored was In the 35-39 age group. The resident maternal mortality rate (per 1,000 live births) for Florida In 1944 - 1948 was 2.6. Charlotte County hjd the lowest rate with no maternal deaths while Liberty County had the highest rate of 1G.7. Table C gives the number of maternal deaths for each year from 1944 to 1948, the number of live births for the combined period, and the maternal mortality for each county for 1944-1948 arranged In order of magnItud a. The maternal mortality rate In Table C Is given for the combined period of 1944- 1948 because rates based upon a small number of events must be Interpreted with caution. Even with the combined period, the reader must keep an open mind In Interpreting data In thIs table. Table 0 gives the maternal deaths by cause, by year, by color, together with the corresponding maternal mortality rates. The combined maternal deaths and maternal mor- tality rates are also shown for the entire period. Puerperal Toxemias (List No. 148) was the leading cause of maternal deaths for 1944- 1948 while Infection during Childbirth and the Puerperlum (List No. 147) was the second highest cause. 1 Everett H. Williams, Jr, Dlrecto r TABLE A. RESIDENT MATERNAL MORTALITY RATES (Per 1,000 Live Birth*) BY COLOR, FLORIDA AND THE UNITED STATES, 1933 - 1948 YEAR FLORIDA j UNITED STATES TOTAL WHITE COLORED TOT AL WHITE COLORED { 1998 1.9 1.1 9. 2 1 1.2* • • 19 97 2.2 1-3 5.0 ! 1-3 1.1 3*3 1996 2.9 1.9 9.9 1.6 1.3 3.6 19 95 2.9 1.8 6.0 1 2.1 1.7 9.3 1999 3-3 2.3 6.0 1 2.3 1.9 9.1 1993 3.9 2.7 6.1 2.5 2.1 9.1 1992 ..0 2.5 8.0 i 1 2.6 2.2 5.9 j 19 91 6.1 9.5 10.0 3.2 2.7 6.8 I 1990 6.9 5.0 9.8 j 3.8 3.2 7.7 1939 6.9 9.9 8.5 ( 9.0 3.9 7.6 19 38 7.6 9.9 12.6 < 3.8 8.5 1937 6.7 9’2 ! r>.i ; H.9 9.9 8.6 1936 7.9 6.2 12.0 i 9.7 5.1 9.7 19 39 8.6 M im j 5.8 9.3 9.5 19 39 8.3 6.9 n.6 : 9.9 9.9 9.0 19 33 11.1 8.9 19.9 t 6*2 _ 9.7 ... - 9.7 *Provlslonal data. Not available by color. TABLEB. RESIDENT BIRTHS, MATERNAL DEATHS, AND MATERNAL MORTALITY RATES (Per 1,000 Live Birth*) BY AGE GROUPS, BY COLOR, FLORIDA, 1948 AGE OF I BIRTH S MATERNAL DEATHS maternal mortality MOTHER j TOT AL WHITE | COLORED TOTAL WHITE COLORED TOTAL WHITE COLORED 10 -19 1 208 93 165 0 0 0 " _ - 15-19 9,5U 5,689 i 3,86 7 ]fi 6 12 1.9 1.1 3.1 20-29 19,7 29 19, 67 3 5,056 21 7 19 1.1 0.5 2.8 25-29 15,239 11,763 3,976 28 10 IB 1.8 0.9 5.2 30-39 8,880 6,329 2,051 20 9 11 2*3 1.3 5.9 35-39 9,693 3,910 1,283 29 12 12 5.1 3*5 9.3 90-99 1,127 811 316 Li 2 3 3.5 2.5 6*3 95-99 77 39 33 0 0 0 • 50 and 3 15 3 f 1 0 0 0 - - - over Unknown 82 71 0 0 Al 1 Ages 59,68 5 — 93,336 16,399 115 69 1.9 1.1 9.2 GRAPH 1 RESIDENT MATERNAL MORTALITY (Per 1,000 Live Births), FLORIDA AND THE UNITED STATES, 1933-19*^8 GRAPH 2 RESIDENT MATERNAL MORTALITY (Per 1,000 Live Births), BY COLOR. FLORIDA, 1933-19^8 4 TABLE C. RESIDENT MATERNAL DEATHS (For Etch Year), LIVE BIRTHS, AND MATERNAL MORTALITY RATES (Per 1,000 Live Blrthe), BY COUNTY, FLORIDA, 194H-19H8 MATERNAL deaths LIVE BIRTHS MATERNAL COUNT 1ES MORTALITY 1944 1 1945 19 46 19 47 19 48 19 44 - 1948 194 4 - 19 48 FLORI OA 160 142 156 135 r H* VJ» 272,2?8 2.6 1. Charlotte 0 0 0 0 0 345 - 1, Brevard 1 0 0 0 1 2,383 0,8 3. Calhoun 0 0 1 c 0 1,170 0,8 4. Taylor 0 0 0 1 0 1,178 0.3 5. Franklin 1 0 0 0 0 353 1.2 6. Santa Rota 0 1 0 2 0 2,330 1.3 7. Orange 3 3 2 4 3 10,503 1.4 8. Wakulla 0 0 0 0 1 638 1.6 9. Martin 0 0 0 1 0 626 1.6 1C. Indian River 1 0 1 0 0 1,209 1.7 11. Manatee 0 2 0 2 1 3,004 1.7 12. Monroe 2 0 0 1 1 2.305 1.7 13» Hillsboro 15 4 1 10 9 10 26,659 1.8 14. St. Lucie 2 0 0 2 0 2,163 1.8 Ik. Sarasota 3 0 1 0 0 2,173 1.8 16. Dade 19 13 19 9 12 38, $ 18 1.9 17. Hardee 0 1 0 0 1 1,0 34 1.9 16. Seminole 1 1 3 1 0 2,992 2.0 19. Holmes 0 1 1 1 1 1,936 2.1 2C . Walton 1 1 1 0 1 1,875 2.1 21- Clay 1 0 0 1 1 1,387 2.2 22. Highlands 0 2 1 1 0 1,809 2. 2 23. Polk 6 6 3 5 1 12,527 2.2 24. Sumter 1 0 1 1 0 1, 264 2.4 25* Pinellas 4 6 1 7 5 1 10,523 2* 4 26. St. Johns 1 2 2 1 0 2,498 2.4 27. Palm Beach 6 4 6 3 6 10,3 47 2.4 28. Duval 13 19 20 16 15 33,718 2.5 29. Washington 1 0 1 2 0 i,sn 2.5 30. Lafayette 1 0 0 0 0 M2 2.5 31. Escambia 9 12 8 5 3 14,407 2.6 32. Bay i 2 • 4 2 2 5,219 2 • 7 33* Okeechobee 1 0 0 0 0 372 2.7 34. Alachua ■a 3 3 2 5 5,710 2.8 3$. Flagler 1 0 0 0 0 349 2.9 36. Volusia 4 5 2 4 3 6,2 39 2.9 37. Okaloosa 1 l 2 2 3 3,078 2.9 38. Nassau 2 0 2 1 0 1,653 3.0 39. Osceola 0 0 1 i 1 987 3.0 40, Broward j 3 l 5 7 6 6,99 7 3.1 41. Lea 2 1 3 0 2 2,470 3.2 42. Citrus 0 l l 0 0 600 3.3 43. Lake 4 3 3 2 0 3,416 3.5 44. Bradford 1 1 0 2 2 1,634 3.7 49. Baker 1 0 2 0 0 815 3.7 46. Leon 3 5 4 5 0 4,9 36 3.8 47. Madison 3 1 2 2 0 2,037 3.9 48. Jackson 5 5 3 4 2 4,78 7 4,0 49. Hernando 1 0 1 1 0 751 4.0 JO. Pasco 0 1 3 2 1 1,746 4.0 51. Columbia 5 3 0 0 2 2,401 1 5 2. OeSoto 2 l 0 1 0 9 78 4,1 5 3. Putnam j 2 2 1 2 1 3 2,216 4.5 5 4. Glades 0 0 0 0 1 221 4.5 4.6 55* Suwannee 4 3 0 2 1 2,19 4 96, Gulf 0 0 0 2 3 1,065 4.7 57, Dixie 1 0 0 2 0 637 4.7 58. Hamilton | 0 4 1 3, 0 1,216 4.9 59. Marlon 1 3 3 6 5 * 1 3,9 34 5.3 60. Hendry i 1 0 i 1 2 0 741 5.4 5.7 5.9 61. Levy • 62. Union 3 2 1 2 : 0 0 3 0 0 0 i 1,227 677 63. Gadsden 2 4 6 3 11 i 3,756 0.9 7.3 7.8 6.8 10.7 6 4. Gilchrist 1 1 1 0 0 i 410 65. Jefferson 2 2 ( 2 3 2 1, 40 4 66. Co I 11 er 0 1 i 2 J 0 1 1 456 67. Liberty 1 1 I 1 _JLJ 1 i 37 4 5 TABLE 0. RESIDENT MATERNAL DEATHS AND DEATH RATES CPer 1,0 00 Live Births) BY CAUSE, BY COLOR, FLORIDA, 1&44-19H8 LIST NO • i CAUSE MATERNAL DEATHS 1 5 Year R ATE 5 Year 1 J — 194 4 j 1945 1946 1947 1948 Total 194 4 1995 j 19 46 1947 19 43 Rate 140 - 150 T 160 ! 142 156 135 115 708 3.3 2.9 j 2.9 i 2.2 j 1.9 2.6 ALL MATERNAL DEATHS W 86 66 76 59 46 333 2.3 1.8 j 1.9 j 7-3 ; 1.1 1.6 c ! 74 76 30 76 69 375 6.0 6.0 _5»9_ 5.J> j 4. 2 5-4 — — T J 15 10 14 10 6 55 0.30 0.20 0.26 f 0.17 i 0.10 0.20 140 Abortion with mention of Infection w 1 4 5 7 6 4 26 0.11 0.14 I 0.17 1 0.13 ! 0.09 0.13 „ 1 q 11 i 5 7 4 2 29 0.89 0.40 0.52 1 0.26 | 0.12 0.41 t! 5 1 7 8 3 " ■* H 0.10 0.14 0.13 i 0.13 0.0 5 0. II 141 Abortion without mention of Infection w 1 5 4 6 17 C.03 0.14 0.10 ! 0.13 j 0.02 0 .08 c 4 ?. 3 2 2 13 O.33 0.16 0.22 0.13 0.12 0.19 T 4 9 11 4 8 36 0.08 0.18 0.20 1 0.07 ! 0.13 O.13 142 Ectopic gestation * C 4 0 j L 3 6 6 5 2 1 1 J. 16 20 0.11 0 i 08 0.48 0.15 0.37 0.04 i 0.13 0.0 2 0.43 0.08 0.29 T 3 1 2 0 1 9 0.06 O.OTI 0 .04 ' . ~f 0.02 0.03 143 Hemorrhage of pregnancy w 1 2 0 0 5 0.0 5 O.O3 0 .05 - 0.02 \ (death before delivery) C 1 2 0 ° . 1 4 0.03 0.16 - - 0,06 0.06 T 19 15 11 10 12 67 0.39 0.31 0.20 0.17 0.20 0.25 144 Toxemias of pregnancy w 9 7 2 2 3 23 0.24 0.19 O.O5 0.04 1 0.07 0.11 (death before delivery) C 10 S 9 3 _9 1 44 0.31 _ O.63 0.66 0.52 O.55 O.63 T ”’5 T 2 3 5 4 19 0.30 0.04 0.06 0.08 0.0 7 0.07 | 1*5 i Other diseases and accidents of w 2 0 l 2 0 5 0.05 0.02 0 .04 - 0.0? pregnancy (death before delivery) c 3 2 2 3 9 14 0.24 — 0 . • 0 J 0.15 0.20 0.24 0.20 i— I- T H 19 30 19 18 109 0,47 0.39 O.55 0.32. 0.30 0.40 146 Hemorrhage of childbirth and the p ue rpe rlurn M C 17 6 L 8 s J 6 12 58 51 ' O O 1 • • 1 ££ i 0.22 0.87 — 0.42 0.96 0.22 0.59 0.14 0.73 0.29 0.73 r- r T 33 • 28 24 20 18 123 0.67 O.57 0.44 O.33 0.30 0.45 1 147 1 Infection during childbirth and the w 15 7 9 9 9 49 0.41 0.19 0.22 0.20 0.21 0.24 puerperlurn i c ’ 18 21 15 11 9 74 1.46 1.66 1.11 0.72 C.55 J..06 r T r- 30 t - 26 29 20 ”3 128 0.61 O.53 0.53 O.33 0.39 0.47 148 i Puerperal toxemias (excluding death w I 18 15 12 7 8 60 0.49 0.41 0.29 0.16 0. IB 0.30 before del I very) c 12 11 j 17 13 15 68 0.98 0.87 1.25 0.85 0.92 0.97 i — T r 1 14 i 14 j 17 26 14 85 0.28 0.29 0.31 O.43 O.23 0.31 149 Other accidents and specified w 10 j 10 12 10 9 51 0.27 0.28 0.29 0.22 0.21 0.25 i conditions of childbirth ! c 4 1 4 6 16 5 34 | O.33 0.32 j 0-37 I.O5 0-31 0.49 r i ! | T 9 ! 9 I 6 1 13 8 r 47 0.18 0.18 0.15 0.22 0.13 0.17 150 1 Other and unspecified conditions of w 4 5 4 1 5 5 1 23 | 0.11 0.14 i 0.10 0.11 j 0.12 0.11 I j childbirth and the puerperium ( | c 5 i 1 4 i * i 6 1 3 i • 24 j 0.41 1 I 0.32 t °-3